Individual provider Active NPI

Genna Marianna Perkins, NP

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1881207348
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010520A Issued in IN
Practice address
2518 E Dupont Rd
Fort Wayne, IN 46825-1675
Phone
(260) 432-4400
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71010520A IN Primary

Addresses

Primary practice location

2518 E Dupont Rd
Fort Wayne, IN 46825-1675

Mailing address

591 Monon Blvd Apt 112
Carmel, IN 46032-2394
Phone (219) 286-2452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105003345 IN Practitioner - Nurse Practitioner 4789035536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Surgeons and Physicians LLCGroup PAC ID 2668539818, 28 clinicians

Practice addresses (Care Compare)

2518 E Dupont Rd
Womens Health Advantage
Fort Wayne, IN 46825-1675
Phone (260) 432-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Surgeons and Physicians, LLC CurrentSince Jan 8, 2024 Accepting new patients
Associated Surgeons and Physicians, LLC Nurse Practitioner CurrentSince Jan 8, 2024 Accepting new patients
Delbello, LLC Past Accepting new patients

Locations

2518 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 969-6882

Interoperability endpoints

  • Direct secure messaging: gperkins@asap.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1881207348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 MONON BLVD APT 112",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322394",
            "telephone_number": "219-286-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251675",
            "telephone_number": "260-432-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "GENNA",
        "middle_name": "MARIANNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010520A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.